Ashley Gonzales
Summary
Dynamic Revenue Cycle Manager with expertise in denial resolution and billing cycle management at California Sleep Solutions. Proven track record in enhancing revenue performance through meticulous claims processing and effective account monitoring. Skilled in medical coding and compliance, while fostering collaborative relationships to ensure timely reimbursements and patient satisfaction.
Personable and analytical, bringing solid understanding of revenue cycle processes and financial management. Proficient in data analysis and process optimization, ensuring compliance with healthcare regulations and seamless revenue flow. Committed to driving efficiency and maximizing revenue through strategic planning and execution.
Overview
2
2
years of professional experience
Work History
Revenue Cycle Manager
California Sleep Solutions
06.2023 - Current
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Examine patient bills for accuracy and request any required missing information
Process healthcare claims and perform (AR) functions - Ensure claims contain the information required for timely reimbursement
- Ability to read and understand EOBs Review rejected claims, correct as needed, and resubmit or appeal denials
An understanding of insurance companies - Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reviewed and verified benefits and eligibility with speed and precision. - Contacted insurance providers to verify insurance information and obtain billing authorization.
- Collaborated closely with other departments to resolve claims issues.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables system and clearing house.
Education
No Degree - Medical Billing & Coding
UEI College
11-2022
High School Diploma -
Union Mine
El Dorado, CA08-2006
Skills
- Revenue performance
- Denial resolution
- Billing cycle expertise
- Account monitoring
- Billing and Collection Procedures
- Medical Terminology
- HIPAA Compliance Certification
- Microsoft Word/Microsoft Excel
Timeline
Revenue Cycle Manager
California Sleep Solutions
06.2023 - Current
No Degree - Medical Billing & Coding
UEI College
High School Diploma -
Union Mine
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